Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $263.03 / $436.52	Facility		$95.50	$263.03	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $13.18	Facility	26	$7.08	$7.08	$13.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $25.12 / $275.42	Facility	TC	$25.12	$25.12	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $33.88 / $114.82	Professional		$8.91	$33.88	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.14 / $43.65	Professional	26	$7.08	$15.14	$43.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $77.62 / $199.53	Professional	50	$17.78	$77.62	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $31.62 / $69.18	Professional	TC	$19.05	$31.62	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $630.96	Facility		$138.04	$234.42	$630.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $6.46 / $6.46	Facility	26	$5.62	$6.46	$6.46
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $21.38 / $21.38	Facility	TC	$18.62	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $112.20	Professional		$52.48	$75.86	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $27.54	Professional	26	$12.59	$18.20	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $60.26 / $87.10	Professional	TC	$39.81	$60.26	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $117.49 / $288.40	Facility		$50.12	$117.49	$288.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $23.99 / $66.07	Facility	26	$6.31	$23.99	$66.07
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $79.43 / $218.78	Facility	TC	$18.62	$79.43	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $95.50	Professional		$30.20	$58.88	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $22.91	Professional	26	$8.91	$14.13	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $42.66 / $74.13	Professional	TC	$21.88	$42.66	$74.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $223.87	Facility		$91.20	$114.82	$223.87
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $26.30 / $52.48	Facility	26	$21.38	$26.30	$52.48
Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $70.79 / $87.10 / $173.78	Facility	TC	$70.79	$87.10	$173.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $75.86	Professional		$47.86	$47.86	$75.86
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $17.38	Professional	26	$11.22	$11.22	$17.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $37.15 / $57.54	Professional	TC	$37.15	$37.15	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $117.49 / $281.84	Facility		$38.90	$117.49	$281.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $131.83 / $229.09 / $309.03	Facility	TC	$131.83	$229.09	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $67.61 / $204.17	Professional		$28.18	$67.61	$204.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $19.50 / $63.10	Professional	26	$9.77	$19.50	$63.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $38.02 / $162.18	Professional	TC	$19.95	$38.02	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $302.00	Facility		$218.78	$223.87	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $95.50	Professional		$29.51	$48.98	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $14.13 / $23.99	Professional	26	$8.13	$14.13	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $34.67 / $72.44	Professional	TC	$21.38	$34.67	$72.44